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1、经脐单孔腹腔镜胆囊切除的临床应用评估王建球杨廷燕周海华史佩东王建平陈跃宇(上海市嘉定区中心医院普外科201800)摘要：目的：探讨经脐单孔腹腔镜胆囊切除术的可行性及临床价值。方法：对我院201()年10月至2013年10月间经筛选符合纳入标准的120例患者随机分为两组，60例行经脐单孔腹腔镜胆囊切除术(TransumbilicalSinglePortLaparoscopicCholecystectomy,TUSPLC),60例行传统四孔法腹腔镜胆囊切除术(LaparoscopicCholecystectomy,LC)0比较两组术
2、式转变率、手术时间、术后疼痛情况、术后肠功能恢复时间、术后引流管拔出时间、术后住院时间、并发症及伤口情况等指标。结果：除手术时间,TUSPLC组长于LC组(P<().()5),两组在术式转变率、手术时间、术后疼痛情况、术后肠功能恢复时间、术后引流管拔出时间、住院时间、并发症均无统计学差界(P>0.05),TUSPLC组伤口满意度高。随访1〜3月，无腹痛等不适症状，TUSPLC组脐部疤痕隐蔽。结论：TUSPLC安全有效，更貝微创性，美容效果好；操作相对困难，有条件的医院可以开展并逐步推广。关键词：腹腔镜；胆囊切除术；单孔；对比研究
3、ClinicalapplicationoflaparoscopiccholecystectomyinnavelholeevaluationWangJianqiuYangTingyanZhouHaihuactaLDepartmentofgeneralsurgery,CentralhospitalofJiadingdistrict,Shanghai201800,ChinaAbstract:Objective:Toexplorethefeasibilityandclinicalvalueoftransumbilicalsinglepo
4、rtlaparoscopiccholecystectomy.Methods:Inourhospitalfrom2010Octoberto2013Octoberwereselectedwith120patientswererandomlydividedintostandardintotwogroups,60casesoftransumbilicalsingleportlaparoscopiccholecystectomy(TransumbilicalSinglePortLaparoscopicCholecystectomy,TUS
5、PLC),60casesofthetraditionalfourholelaparoscopiccholecystectomy(LaparoscopicCholecystectomy,LC).Changeratewerecomparedbetweenthetwogroups,operationtime,postoperativepain,postoperativeintestinalfunctionrecoverytime,postoperativedrainagetubepulledoutoftime,postoperativ
6、ehospitalizationtime,complicationsandwoundconditionindex.Results:Inadditiontooperationtime,TUSPLCgroupthantheLCgroup(P<0.05),twopatientsintheconversionrate,operationtime,postoperativepain,postoperativeintestinalfunctionrecoverytime,postoperativedrainagetubepulledouto
7、ftime,hospitalizationtime,complicationswerenosignificantdifference(P>0.05),TUSPLCgroupwoundahighdegreeofsatisfaction.Duringthefollow-upof1〜3months,noabdominalpainandothersymptoms,TUSPLCgroupumbilicalsea匚Conclusion:TUSPLCissafeandeffective,moreminimallyinvasive,beauty
8、effectisgood;theoperationisrelativelydifficult,conditionalhospitalcanbecarriedoutgraduallyandpromotionKeywords:laparoscopic;cholecy
